HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 08-00565 - 275 Seagull Dr - Farmer04 gSXB URC
�� fd
v 'a
N�B� SNEU 1B0A
CITY OF
REX
America's Family Community
B uilding
Permit
ISSUED TO:
PERMIT #: 0800565
NAME: Farmer Austin & Tami
FOR THE CONSTRUCTION OF: 2 Seagull JOB ADDRESS: _275 Seagull Dr
GENERAL CONTRACTOR: Ward'S Plumbing
This permit is issued subject to the regulations contained in Building Code and Zoning Regulations of the
City of Rexbug. It is specifically understood that this Permit does not allow any Variance to the regulations
of the City of Rexburg or Zoning Codes unless specifically approved by the City Council and explained on
the Building Permit Application as approved by the Building Inspector.
Date ^A Apprbved
W AF Dy
Issued By
Building Inspector
THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE
THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERTIFICATE OF OCCUPANCY
1) A complete set of approved drawings along with the permit must be kept No work shall be done on any part of
on the premises during construction. the building beyond the point indicated
NOTICE i 2) The permit will become null and void in the event of any deviation from the in each successive inspection without
■ accepted drawings. approval. No structural framework of
3) No foundation, structural, electrical, nor plumbing work shall be concealed
without aDDroval. any underground work shall be covered
INSPECTION CARD
BUILDING
note e,,.... -__.J
F K Mechanical Rough In
2. Mechanical Pressure
3. Mechanical Final Ins
4. Layout
5. Footing
6. Foundation
7. Framing
8. Insulation
9. Drywall
10. Sidewalk
11. Final
ELECTRICAL
1. Groundwork/Ufer
2. Rough -In
3. Electrical Service
4. Final
PLUMBING
Date roved
1. Sewer Service Conn
2. Water Service Conn(
24 Hour Notice
and Permit Number required
to make inspection appointments
For Inspections Call 359 -3020 option 2
ACERTIFICATE OF OCCUPANCY CAN NOT
BE ISSUED PRIOR TO FINAL ELECTRICAL
& PLUMPING INSPECTION
• M.
C I T Y o F Certificate of Occupancy
° REX F City of Rexburg
a„reRtasFam�iy Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
08.00565
International Residential Code 2006
275 Seagull Dr
Single Family Residential
Type V, non -rated
Residential
No
Name and Address of Owner: Farmer Austi n & Tami
3892 E Ash Ln
Rigby, ID 83442
Contractor: Aa Decorative
Special Conditions: 600 sq ft unfinished basement
Occupancy: Residential - less than 2 units, permanent in nature
This Certificate, issued pursuant to the requirements of Section 109 of the Intemational Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
vies inspected on the date listed vies found to be in compliance vtith the requirements of the code
for the group and division of occupancy and the use for which the proposed occupancy was
classified.
Date C.O. Issued: March 27, 2009 (02: )
C.O Issued by: Y
Building Official
There shall be no further change in the e)asting occupancy classification of the building nor shall any structural changes,
modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved
said future changes.
Plumbing Inspector• T Fire Inspector: n �-
Electrical Inspector: P&ZAdministrator: h / Q.
'
��* s"*
� � CTT'Y 0F�
REXBURG
....,
' America's Family Ommunity
CW
RESIDENTIAL BUILDING PERMIT APPL.
19 E MAIN, REXBURG, ID 83440
208 - 359 -3020 X326
Please Complet7the Entire Application!
0800565
275 Seagull Dr- Farmer
PARCEL NUMBER: U S_ O �[�,� will provide this for you)
SUBDIVISION: i� �,r.�} �, . �, UNIT# BLOCK # #
(Addressing is based on the information - must be accurate)
Dwelling Units: i Parcel Acres:
CONTACT PHONE # 3 f l y `79 6 Q
PROPERTY ADDRESS:
PHONE #: Home ( '3 "1[y - 7 q &, Work (zce 3 s, c-, - '7 It & n Cell (?G - V,9 '79 4, 6
OWNER MAILING ADDRESS: 9 81 2 F � % L., CITY: STATE ZIP: 611/Y
EMAIL �LFc e� w. �i C''i' f' .� e� FAX �--
APPLICANT (If other than owner) 4&6:
(Applicant if other than owner, a statement authorizig(g applicant to act as agent for owner trust accompany this application.)
APPLICANT INFORMATION: ADDRESS CITY:
STATE; ZIP,
PHONE #: Home (
EMAIL F
Work ( ) Cell (
CONTRACTOR Pi C\ � �c_,!!) ,• - * - %r--e
MAILING ADDRESS: 3 i o b !y — Uw , ,i _k*k _, CITY _ A �tk STATE ei�sYc3 (
PHONE #: Home ( 2.t y=5 Work (&t) .7 L., _o i crb Cell (zt:P) ?lo - 7ctG .-'
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE RC -T
How many buildings are located on this property? L) _s_ t_ p l
Did you recently purchase this property? No es f yes, list previous owner's name) fUe- f l C-1 n
Is this a lot split? NO YES (Please bring copy of new legal description of property)
PROPOSED USE: 75 : fA i.r_ �r i—i
(i.e., Single Family Residence, Mu ti Family, Apartments, R mo ra , C m gal Ad tie ,
APPLICANT'S SIGNATURE, CERTIFICATION AND AUT ATION: Under penof p jW hereby certify that I have read this
application and state that the information herein is correct and I a at a orrrl)at�n ma a ter be given by me in hearings before the
Planning and Zoning Commission or the City Council for the Ci f burs all be truthful and co rect. agree to comply with all City regulations and
State laws relating to the subject matter of this application and he y au horized representatives t enter upon the above - mentioned property
for inspections purposes. NOTE: The building official may revo e a pe pr visions of the 2003 International Code in
cases of any false statement or misrepresentation of fact in the ap cat rn h 1 or approval was based. Permit void if not
started within 180 days. P nr it void if work stops for 180 days.
ignature Ow r /Applicant DATE
WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
Plan fees are non - refundable and are paid in full at the time of application beginning Janua{v 1.2r�5
City of Rexburg's Acceptance of the plan review fee does not constitute plan approval
**Building Permit Fees are due at time of application** **Building Permits are void if your check does not clear**
Bull
19 E. Main
Rexburg, ID 83440
g Safety Department
City of Rexburg
jonellh @rexburg.org Phone: 208.359.3020
www.rexburg.org Fox. 208.359.3024
CITY O F
;
REXBURG
Americas Family Community
Affidavit of Legal Interest
State of Idaho
County of Madison
I,
Name
Address
City State
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, skip to B)
A. That I am the record owner of the property described on the attached, and I grant my
permission to:
Name Address
to submit the accompanying application pertaining to that property.
B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any
claim or liability resulting from any dispute as to the statements contained herein or as to the
ownership of the property which is the subject of the application.
Dated this day of , 20
Signature
Subscribed and sworn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
Building Safety Departme
City of Rexburg
19 E. Main jonellh@rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax. 208.359.3024
04 +tEXB(tQ
U 5
U �
E�
C I T Y OF
REXBURG
Americas Family Community
Property lines
Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines
are shown accurately. It is the Developer's responsibility to correctly identify on the site plan the location of these
lines in reference to the public right -of -way, other adjoining property lines, the street, other structures and all utility
lines. The Developer should find property pins that are still available at the lot in question. If these pins do not
exist or have become unrecognizable then a new survey should be performed.
Accurate property line information is a must for a timely review. In addition to finding existing property pins, legal
descriptions should be checked. The best way to identify property line location is with a land survey. The City of
Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are not
guaranteed for accuracy. If you want to request a copy of your lot, see the front counter at the Community
Development Department.
I have read and understand the above requirements.
Signature
Date
o-Owner or - x"uilder
Printed Name
Building Safety Department
City of Rexburg
19 E. Main ionellh@rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
Q4 gBXRV
� r
o
C I T Y o f
REXBURG
America's Family Community
NAME _ Aa -. t,� ..,_
PROPERTY ADDRESS Permit#
SUBDIVISION ,� t. �--
PHASE I LOT !!�E BLOCK
Remodeling Your Building /Home (need Estimate)
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area ( l C C3 Unfinished Basement area (. G (_
Second floor /loft area ,Agr Finished basement area S'U O
Third floor /loft area 10 Garage area b I to
Shed or Barn �/ Carport /Deck (30" above grade)Area , 4a
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
Requlre&Y
PLUMBING
Plumbing Contractor's Name: &" s' !N Business Name: U-)
Address 25 �. "� ,'U City ZXev �N &6 State - �s Zip 3S/o
Contact Phone: (ma) 3 13 — S=f Business Phone: (Zo 8) 3
Email Fax
FIXTURE COUNT (includingroughed fixtures)
I Clothes Washing Machine
I Dishwasher
_t Floor Drain
I— Garbage Disposal
e� Hot Tub /Spa
O �- Sinks (Lavatories, kitchens, bar, mop)
Z Sprinklers
-3 Tub /Showers
3 Toilet /Urinal
I Water Heater
i Water Softener
Plumbing Estimate $ O U O (COMMERCIAL /MULTI - FAMILY ONLY)
Zwn-fl, 411� — /nAc - Zot 11 I is
Signature of Licensed Contractor License Number& Expiration Date I Date
Building Safety Department
City of Rexburg
19 E. Main ionellh @rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
O �SSAR a
F `�
7
CITY OF
REXI3URG
CW
Americas Family Community
NAME
PROPERTY ADDRESS Permit#
SUBDIVISION
PHASE I_ LOT S' BLOCK �
RequiredLY
MECHANICAL
Mechanical Contractor's Name ("JT�'. „ Business Name
Address Z l M cl S
Cell Phone (Zc E-. l - 5 i y Business Phone (Z o6) _ 2 9 �o `i 3
Fax (
Email
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
_) 0' Furnace
( X Furnace /Air Conditioner Combo
-ire Heat Pump
Air Conditioner
— Evaporative Cooler
_P O' Unit Heater
Space Heater
_ Decorative gas -fired appliance 1=•np la�,�
— Incinerator System
Boiler
Pool Heater
_ Exhaust or Vent Ducts (water heater)
_ Dryer Vents
Range Hood Vents
Cook Stove Vents
— -6 2 Bath Fan Vents
other similar vents & ducts:
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that appl (Oil Coal Qrkw�_c Electric Hydronic
r`
i
92 0855 976 /D - 25- o i�
S of Licensed Contractor License number Date
Building Safety Department Fyo ��xg�R�, 7
City of Rexburg
� 6
19 E Main ionellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
C I T Y OF
REXBURG
America's Family Community
OWNER'S NAME ►Tat-
PROPERTY ADDRESS S • - Permit#
SUBDIVISION R-e ,,-+g-
PHASE LOT S BLOCK 3
HOME OWNER'S ELECTRICAL PERMIT
Home Owner's Name
Address City State Zip,
Cell Phone
Fax ( ) _
Home Phone (
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
For power supplier requirements visit www.rockymtnpower.net
❑ *Up to 1,500 sq ft - $72
X *1,501 to 2,500 sq ft - $120
❑ *2,501 to 3,500 sq ft - $168 ❑ *3,501 to 4,500 sq ft - $216
❑ * *Over 4,500 sq ft - $216 plus $.04 /sq ft: sq ft total
❑ Existing Residential (# of Branch Circuits) - $40 plus $10 per circuit:
# of circuits
• Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $40
• Spa, Hot Tub, Swimming Pool - $40 plus $40 grounding grid where applicable
• Electric Central Systems Heating and /or Cooling (wben not part of a nem residential construction permit
and no additional aviirin,g) - $40
• Modular, Manufactured or Mobile Home - $50 plus $10 per circuit
❑ Other Installations: Wiring not specifically covered by any of the above:
Cost of Wiring & Labor. $ (Includes the cost of materials installed regardless of the party supplying it).
❑ Pumps (Domestic Water, Irrigation, Sewage): horse power
❑ Requested Inspections (of existing wiring) - $40 /hr (1 hour minimum) plus $40 /hr thereafter
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
** Includes a maximum of 4 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
-
� r ! a 7 G2
Ignature of Home Owner Date
Buil
Safety Departmen
City of Rexburg
19 E Main
Rexburg, ID 83440
jonelih @rexburg.org Phone: 208.359.3020 x326
www.rexburg.org Fax: 208.359.3024
O� q,6XBU�pC
f b
�• O
C I T Y OF
REXBURG 1.11-1 -
America's Family Community
OWNER'S NAME Ps,- v, :-: , f - .�- t-v..,-. <-
PROPERTY ADDRESS Permit #08 00565
SUBDIVISION 4,.,A �, 275 Seagull Dr
PHASE LOT S BLOCK
RequiredMf
ELECTRICAL
Electrical Contractor's Name —Sf P ✓ C C-e Business Name (/-Q /C-C t p - 7;< i C --
Address !,/ 60dv City dV>-- State Z74> Zip
Cell Phone 3 - 1 / ,6,$ sue° - Business Phone (2o,?) 33Sd e->- eo y
Fax (�.�) Y �� !o r Email �1.c�,�. n is . n s �O n-+ s.v c+
Electrical Estimate (cost of wiring & tabor) $ (COMMERCIAL /MULTI - FAMILY ONLY)
(Includes the cost of materials installed regardless of the pary .supplying it).
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
RESIDENTIAL ONLY
❑ *Up to 1,500 sq ft - $72 X, *1,501 to 2,500 sq ft - $120
❑ *2,501 to 3,500 sq ft - $168 ❑ *3,501 to 4,500 sq ft - $216
• * *Over 4,500 sq ft - $216 plus $.04 /sq ft: sq ft total
• Existing Residential (# of Branch Circuits) - $40 plus $10 per circuit:
# of circuits
&= 9 y Y V �
• Temporary Construction Service, 200 amp or less, one location (f $40
• Spa, Hot Tub, Swimming Pool - $40 plus $40 grounding grid w a lic*V 2 0 2W8
• Electric Central Systems Heating and /or Cooling (when not part of a nej reside i fial construction permit
and no additional airing) - $40
• Modular, Manufactured or Mobile Home - $50 plus $10 per circui CITY OF R EXB U RG
• Other Installations: Wiring not specifically covered by any of the above:
Cost of Wliring & Labor. $ (Includes the cost of materials installed regardless of the part' supplying it).
• Pumps (Domestic Water, Irrigation, Sewage): horse power
• Requested Inspections (of existing wiring) - $40 /hr (1 hr minimum) plus $40 /hr thereafter
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
** Includes a maximum of 4 s ectior s: A2ditional inspections charged at requested inspection rate of $40 per hour.
S, of tensed Contractor 'cense nuinber Date
. SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete:
Masonry: �, i� , �+ �� . E- -
Roofing: �� to Lv LC, L
Insulation: .zru \ 1
Drywall: 1. C� 7 . �-
Painting: C� r� `, u _ T ; • , i .`. ,c
Floor
Coverings:
Plumbing:
Heating:
Electrical: 6.c
Special Construction
(Manufacturer or Supplier)
Roof Trusses: L� N\-C- W
Floor /Ceiling Joists: % N` _ -E- .
Siding /Exterior
Other:
EXEMPTAkS FROM STATE REOSTRATION
As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State
registration number or your exemption from the State registration. Please send a copy of your state registration or
fill out this form showing your exemption and send it with your license renewal or your next permit application.
(This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please
see the State's website at www.ibol.idaho.gov /cont.htm
❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters:
3 Architects,
10 Electrical Contractors /Journeyman,
12 Engineers /Surveyors,
19 Public Works Contractors (exempt from fee only registration required),
26 Plumbing /Plumbers,
45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or
50 Installation of heating, ventilation and air conditioning systems
❑ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable
activity with no wages or salary
❑ Employee of a US Government agency (State, City, County, or other municipality)
❑ Public Utility doing construction, maintenance, or development to its own business
❑ Involved with gas, oil or mineral operations
❑ Supplier doing no installation or fabricating
❑ Contracting a project or projects with a total cost less than $2000
❑ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code
❑ Any type of water district operations
❑ Work in rural districts for fire prevention purposes
❑ Owner who performs work on own property or contracts with a registered contractor to do work as long as
the property is not for resale within 12 months
❑ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that
property
❑ Real estate licensee /property manager acting within Idaho Code
❑ Engaging in the logging industry
❑ Renter working on the property where they live with the property owners approval
❑ Construction of a building used for industrial chemical processing per Idaho Code
❑ Construction of a modular building (defined by Idaho Code) to be moved out of state
I hereby certify that the above information is true and correct to the best of my knowledge.
Signature
Date
Print Name